Evaluation of Postoperative Comfort and Parental Satisfaction in Children Following Dental Treatment under General Anesthesia

Öz

ABSTRACT Objective: The aim of this study is to examine dental treatments performed under general anesthesia (DTGA) in children and to evaluate the comfort level and parental satisfaction in the postoperative period. Material and Methods: Forty-eight children aged between 3-13 years who received DTGA and their parents were included in the study. Data about patient’s age, ASA classification, operation time, biochemical values, current complaints and diseases, medication used, presence of complications, and treatment were recorded. After the dental operation, a 26-question survey including their overall satisfaction with the DTGA, the problems they experienced before and their changes after the DTGA, and the stage they experienced after the treatment. Kruskal-Wallis, χ2, and Fischer’s exact tests were used for statistical analyses. Results: The mean age of the patients (years), the duration of the operation (minutes), and the number of filling and extraction treatments (units) were found to be 7.35±2.63 years, 76.9±22.1 minutes, and 8.18±4.19 units, respectively. According to the survey data, it was determined that the parents were generally satisfied with the DTGA (97%) and would have it done again in case of necessary (100%). No statistically significant difference was observed between healthy children and children with special treatment needs (STN) regarding satisfaction, (p=0.688). No significant relationships were detected in satisfaction and postoperative pain complaints regarding the number of treatments being less (≤6) or more (>6), (p=0.727; p=0.425, respectively). Conclusion: According to the results of this study, levels of postoperative comfort and parental satisfaction were found to be high in children who received DTGA. It is concluded that DTGA is a safe and preferable method for healthy children or children with STN.

Anahtar Kelimeler

• Parental satisfaction
• dental treatment
• general anesthesia
• postoperative comfort
• child

Çocuklarda Genel Anestezi Altında Uygulanan Dental Tedavilerde Postoperatif Konfor ve Veli Memnuniyetinin Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı, çocuk hastalarda genel anestezi (GA) altında yapılan diş tedavilerinin incelenmesi, postoperatif dönemdeki konfor düzeyi ve ebeveyn memnuniyetinin değerlendirilmesidir. Gereç ve Yöntemler: GA altında dental tedavisi yapılan 3-13 yaş grubu 48 çocuk hasta ve velisi çalışma kapsamına alınmıştır. Hastaların yaş, cinsiyet, Amerikan Anesteziyoloji Derneği’nin (American Society of Anesthesiologists–ASA) Fiziksel Durum Sınıflandırma Sistemi, operasyon süresi, biyokimyasal değerleri, mevcut şikâyet ve hastalıkları, kullanılan ilaçlar, komplikasyon varlığı ve uygulanan tedavi verileri kaydedilmiştir. Dental operasyonun ardından, velilere GA süreciyle ilgili memnuniyet düzeyi, anestezi öncesinde yaşadıkları zorluklar ve tedavi sonrası süreçlerini değerlendiren 26 soruluk bir anket uygulanmıştır. Verilerin istatistiksel analizleri için Ki-kare, Kruskal-Wallis ve Fischer’in kesin testi kullanılmıştır. Bulgular: Hastaların ortalama yaş ortalaması (yıl), operasyon süresi (dakika) ve uygulanan dolgu ve çekim tedavisinin sayısı (adet) sırasıyla 7,35±2,63 yıl; 76,9±22,1 dakika ve 8,18±4,19 adet olarak bulunmuştur. Anket sonuçları incelendiğinde velilerin genel olarak GA ile diş tedavisi işleminden memnun kaldığı (%97), ihtiyaç duyulduğu takdirde GA ile yeniden tedavi yaptıracakları (%100) tespit edilmiştir. Sağlıklı ve özel sağlık gereksinimi (ÖSG) olan çocukların tedaviden sonraki memnuniyet değerlendirmeleri arasında istatistiksel olarak anlamlı fark gözlenmemiştir (p=0,688). Tedavi sayısının az (≤6) veya çok (>6) olması ile operasyon sonrası ağrı şikâyeti ve memnuniyet durumu arasında anlamlı bir ilişki saptanmamıştır (sırasıyla; p=0,727; p=0,425). Sonuç: Bu çalışmanın sonuçlarına göre, GA altında diş tedavisi yapılan çocuklarda postoperatif konfor ve ebeveyn memnuniyet düzeyi yüksek olarak bulunmuştur. Sağlıklı veya ÖSG bulunan çocukların diş tedavilerinin GA altında yapılmasının, güvenli ve tercih edilebilir bir yöntem olduğu sonucuna varılmıştır.

Anahtar Kelimeler

• ebeveyn memnuniyeti
• genel anestezi
• dental tedavi
• postoperatif konfor
• çocuk

Kaynakça

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